血小板浓厚液.pptVIP

Transfusion Therapy 章人欽 醫師 高雄捐血中心 台灣血液基金會 Outline Blood provision About blood products Blood Groups and Compatibilities? Blood Component Therapy Blood product modifications Irradiation of blood products Leucocyte depletion of blood products Blood administration Blood provision Pretransfusion sample Collector Venipuncture will only be performed by an appropriately trained pathology collector, medical officer, registered nurse or anaesthetic or theatre technician, or a trainee in direct supervision of one of the above. Patients must be identified before sample collection Ask the patient (or parent) to state their name, date of birth and address (outpatients) Inspect the patient ID bracelet (inpatients) and confirm that these details match those on the request form Blood provision Pretransfusion sample Specimen labelling must be labelled at the bedside before leaving the patient specimens must have the following identifiers Full Name (Surname and First name) Date of birth UR number (if known) Date and time of collection Collectors signature or initial on the request form labelling of tubes in advance of collection is not acceptable due to the risk of patient specimen mismatch Blood provision Pretransfusion testing Group and Screen Determines the ABO and Rh(D) group Antibody screen to detect red cell antibodies Checking for previous transfusion and blood group records Blood provision Issue of blood products from the blood bank Blood products should only be picked up when the transfusion is ready to commence in order to ensure appropriate storage of blood products. Blood products must not be stored in ward areas or domestic fridges. If the transfusion cannot commence within 30 minutes, the product must be returned to blood bank for storage About blood products Blood products Blood Groups and Compatibilities? Blood Component Therapy Blood product modifications Irradiation of blood products Leucocyte depletion of blood products Blood Groups and Com